Review Article

Implication of Fructans in Health: Immunomodulatory and Antioxidant Mechanisms

Table 1

Main prebiotic effects of fructans in in  vitro and in  vivo studies.

EffectType of fructanDose/durationModelResultsReference

Decreasing blood glucoseFOS, inulin8 g/d for 14 days; 10% for 4 weeksDiabetic subjects; animal modelsSignificant reduction of mean fasting blood glucose levels. Improving glucose tolerance[4951]

Reduction in blood serum triacylglycerol levelsFOS, inulin4–34 g/d for 21–60 days; 10% for 3–5 weeksHealthy humans; obese animal modelsSignificant reduction in blood serum triacylglycerol levels[5254]

Improved lipid metabolismFOS, GOS, inulin, and agavins5%–10% for 21 day to 8 weeksObese animal modelsDecrease in body weight gain. Decrease in epididymal adipose tissue, inguinal adipose tissue, and subcutaneous adipose tissue. Reducing fat-mass development[41, 50, 51, 5559]

Stimulation of lactobacilli and bifidobacteria and decreasing pathogensFOS, GOS, and inulin2.5–34 g/d for 14–64 daysHealthy subjects and animal modelsStimulating the growth of bifidobacteria and contributing to the suppression of potential pathogenic bacteria[46, 60, 61]

Relief of constipationInulin, FOS, and GOS20–40 g/d for 19 daysConstipated humans and animal modelsInulin showing a better laxative effect than lactose and reducing functional constipation with only mild discomfort[62, 63]

Increased production of SCFAs and decreasing colon pHInulin, FOS, and agavins24 g/d for 5 weeks; 10% for 28 daysHealthy subjects; animal modelsSignificant increase of acetate, propionate, and butyrate. Significantly increasing activity of bacterial enzymes and decreasing the pH of digesta[36, 64, 65]

Improving mineral uptakeInulin, FOS, and agavins1–40 g/d for 9 days; 50–100 g/kg diet for 4 weeksMale healthy adolescents; animal modelsFOS stimulating fractional calcium absorption in male adolescents. A combination of different carbohydrates showing synergistic effects on intestinal Ca absorption and balance in rats[6669]

Regulated gut peptidesInulin, FOS, and agavins24 g/d for 5 weeks; 10% for 5 weeksHealthy subjects; animals modelsIncreasing plasma glucagon-like peptide-1 (GLP-1) concentrations and reducing ghrelin. Increasing endogenous GLP-2 production and consequently improving gut barrier functions[36, 41, 50, 57, 59]

Reducing body weight and energy intakeAgavins10% for 5 weeksMale healthy animal modelAgave fructans showing indications of prebiotic activity, particularly in relation to satiety and GLP-1 and ghrelin secretion. In this same study, the levels of butyric acid were higher for Agave  potatorum fructans[43]

Growth inhibition and prevention of adhesion of pathogenic microorganismsFOS170 mg/kg, 2 weeks of lactationBreast-fed infant; cocultures of Pseudomonas aeruginosa Oligosaccharides in human milk interfering with microbial adhesion. Reduction of exotoxin A in cultures of P. aeruginosa [39, 40]

Reduction of oxidative stress by reducing ROS levelsFOS, agavins10% for 4–8 weeksMale obese animal modelsFOS reducing TBARS urine. Lipopolysaccharides reduction in plasma. Improving the redox status by reducing the malondialdehyde serum levels and protein oxidative damage[9, 42, 65]

Stimulation of the immune systemFOS, GOS, and inulinSee Table 2

FOS: fructooligosaccharides; GOS: galactooligosaccharides; SCFAs: short chain fatty acids.